How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $354.81 | $407.38 | $457.09 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $676.08 | $851.14 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $75.86 | $91.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $776.25 Typical High $933.25 | Professional | TC · Technical part | $616.60 | $776.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $630.96 Typical High $1,047.13 | Professional | None (both parts) | $354.81 | $630.96 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $33.11 | $66.07 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $575.44 Typical High $977.24 | Professional | TC · Technical part | $323.59 | $575.44 | $977.24 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,380.38 | Facility | None | $457.09 | $457.09 | $1,380.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $467.74 Median $870.96 Typical High $2,754.23 | Professional | None (both parts) | $467.74 | $870.96 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $70.79 Typical High $338.84 | Professional | 26 · Professional part | $38.02 | $70.79 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $794.33 Typical High $2,511.89 | Professional | TC · Technical part | $426.58 | $794.33 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $831.76 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $831.76 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $66.07 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $758.58 Typical High $954.99 | Professional | TC · Technical part | $363.08 | $758.58 | $954.99 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $812.83 Median $1,023.29 Typical High $1,230.27 | Professional | 22 · Increased work | $812.83 | $1,023.29 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $134.90 | $169.82 | $204.17 |
Where North Dakota sits
The same service costs 4.6 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Dakota· 8th of 51
$794
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.